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working canine. The military conflicts of the past 17 years have taught us many lessons, together with the evolution of the tiered trauma system with en route resuscitation. The evolution of the conflict has begun to limit the reach of this standard trauma system. Recent proof means that ninety five% of early deaths ensuing from traumatic accidents may be prevented if the patient can undergo injury control surgery inside 23 minutes of injury. US Military Surgical Resuscitation Teams have been developed to shorten this time from damage to surgical care,

 

 

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